Provider Demographics
NPI:1104141910
Name:NAJAR, SENAN RAAD-FADUL (DDS, MSD MSC)
Entity type:Individual
Prefix:DR
First Name:SENAN
Middle Name:RAAD-FADUL
Last Name:NAJAR
Suffix:
Gender:M
Credentials:DDS, MSD MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 S. SAMISH WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-734-1999
Mailing Address - Fax:360-734-8822
Practice Address - Street 1:102 S. SAMISH WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:BEILINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-734-1999
Practice Address - Fax:360-734-8822
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601049861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice